Evidence map›Paper›PMID 35929531›Full record

ArticleJournal of hospital medicine2022

Trends in all-cause mortality and inpatient and outpatient visits for ambulatory care sensitive conditions during the first year of the COVID-19 pandemic: A population-based study.

Tetyana Kendzerska, David T Zhu, Michael Pugliese, Douglas Manuel, Mohsen Sadatsafavi, Marcus Povitz, Therese A Stukel, Teresa To, Shawn D Aaron, Sunita Mulpuru and 5 more

Open access · greenAbstract read
In one paragraph

Article in Journal of hospital medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 6 institutions in 2 countries.

Tetyana KendzerskaThe Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.ORCID 0000-0002-5301-1796
David T ZhuThe Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.
Michael PuglieseThe Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.
Douglas ManuelThe Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.
Mohsen SadatsafaviRespiratory Evaluation Sciences Program, Faculty of Pharmaceutical Sciences, The University of British Columbia, Vancouver, British Columbia, Canada.
Marcus PovitzDepartment of Medicine, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
Therese A StukelICES, Ontario, Canada.
Teresa ToICES, Ontario, Canada.
Shawn D AaronThe Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.
Sunita MulpuruThe Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.
Melanie ChinThe Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.
Claire E KendallICES, Ontario, Canada.
Kednapa ThavornThe Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.
Rebecca RobillardSchool of Psychology, University of Ottawa, Ottawa, Ontario, Canada.
Andrea S GershonICES, Ontario, Canada.
University of Ottawa · CAOttawa Hospital · CASunnybrook Health Science Centre · CAUniversity of British Columbia · CAUniversity of Calgary · CAUniversity of Toronto · CA

Funding

Ontario Health Data Platform (OHDP)Ottawa Hospital Academic Medical Organization (TOHAMO)
6 · The paper itself

Abstract

backgroundThe impact of the COVID-19 pandemic on the management of ambulatory care sensitive conditions (ACSCs) remains unknown.

objectivesTo compare observed and expected (projected based on previous years) trends in all-cause mortality and healthcare use for ACSCs in the first year of the pandemic (March 2020 to March 2021). DESIGN, SETTING AND

participantsWe conducted a population-based study using provincial health administrative data on general adul population (Ontario, Canada). OUTCOMES AND MEASURES: Monthly all-cause mortality, and hospitalizations, emergency department (ED) and outpatient visit rates (per 100,000 people at-risk) for seven combined ACSCs (asthma, chronic obstructive pulmonary disease, angina, congestive heart failure, hypertension, diabetes, and epilepsy) during the first year were compared with similar periods in previous years (2016-2019) by fitting monthly time series autoregressive integrated moving-average models.

resultsCompared to previous years, all-cause mortality rates increased at the beginning of the pandemic (observed rate in March to May 2020 of 79.98 vs. projected of 71.24 [66.35-76.50]) and then returned to expected in June 2020-except among immigrants and people with mental health conditions where they remained elevated. Hospitalization and ED visit rates for ACSCs remained lower than projected throughout the first year: observed hospitalization rate of 37.29 versus projected of 52.07 (47.84-56.68); observed ED visit rate of 92.55 versus projected of 134.72 (124.89-145.33). ACSC outpatient visit rates decreased initially (observed rate of 4299.57 vs. projected of 5060.23 [4712.64-5433.46]) and then returned to expected in June 2020.

Indexed as

Ambulatory CareCOVID-19Ambulatory Care Sensitive ConditionsEmergency Service, HospitalHospitalizationHumansInpatientsOntarioOutpatientsPandemics

Identifiers

PMID35929531
PMCPMC9539068
OpenAlexW4289884580

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.